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单词 Starling effect
释义

Starling effect

中文百科

法兰克-史达林机制 Frank–Starling law

(重定向自Starling effect)
心功能曲线

此为Frank–Starling机制图示,Y轴代表每搏输出量、做功量或心输出量。

X轴表示舒张末期容积、右心房压力及肺毛细血管压。

Frank–Starling机制英语:Frank–Starling mechanisms),是心脏的一种代偿机制。指的是心脏的每搏输出量在所有其他因素保持不变的情况下,会随着心脏前负荷(心肌在收缩前所承受的负荷)的增加而增加。在一定的限度内,增加心脏的前负荷,回心血量增多,心脏内血液总体积充盈(舒张末期结束后的容积增加),从而导致心脏输出量增加。每搏输出量的增加也可导致心肌在运动过程中做更大幅度的收缩,从而提高心脏做功量,与舒张末期容积无关。Frank–Starling机制对心脏每搏输出量在较低的水平时可显着提高其收缩水平以及对每搏输出量的影响。

英语百科

Frank–Starling law 法兰克-史达林机制

(重定向自Starling effect)
Cardiac function curve
In diagrams illustrating the Frank–Starling law of the heart, the y-axis often describes the stroke volume, stroke work, or cardiac output.

The x-axis often describes end-diastolic volume, right atrial pressure, or pulmonary capillary wedge pressure.
The three curves illustrate that shifts along the same line indicate a change in preload, while shifts from one line to another indicate a change in afterload or contractility.

The Frank–Starling law of the heart (also known as Starling's law or the Frank–Starling mechanism or Maestrini heart's law) states that the stroke volume of the heart increases in response to an increase in the volume of blood filling the heart (the end diastolic volume) when all other factors remain constant. In other words, as a larger volume of blood flows into the ventricle, the blood will stretch the walls of the heart, causing a greater expansion during diastole, which in turn increases the force of the contraction and thus the quantity of blood that is pumped into the aorta during systole. The increased volume of blood stretches the ventricular wall, causing cardiac muscle to contract more forcefully (the so-called Frank–Starling mechanisms). The stroke volume may also increase as a result of greater contractility of the cardiac muscle during exercise, independent of the end-diastolic volume. The Frank–Starling mechanism appears to make its greatest contribution to increasing stroke volume at lower work rates, and contractility has its greatest influence at higher work rates.

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更新时间:2025/6/17 2:07:05